Individual
DR. STUART HUNEGS BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 E 26TH ST, SUITE 200, MINNEAPOLIS, MN 55404-4526
(612) 884-6300
(612) 884-6363
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5309
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38965
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027319800
—
MN
01
—
0402635
SELECT CARE
MN
01
—
1020292
PREFERRED ONE
MN
01
—
410729979
COMMERCIAL
MN
01
—
45G00BL
BLUE SHIELD
MN
01
—
HP29529
HEALTH PARTNERS
MN
Enumeration date
08/09/2006
Last updated
11/29/2017
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